Hyperbaric oxygen in the treatment of postoperative infections in paediatric patients with neuromuscular spine deformity

The aim of this study is to evaluate possible benefits of hyperbaric oxygen (HBO) therapy in the treatment of deep postoperative infections in six high risk paediatric patients with neuromuscular spine deformity. The study involved review of medical records including radiology, office visits, and te...

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Bibliographic Details
Published in:European spine journal 2011-12, Vol.20 (12), p.2217-2222
Main Authors: Larsson, A., Uusijärvi, J., Lind, F., Gustavsson, B., Saraste, H.
Format: Article
Language:English
Subjects:
Adolescent
Antibiotics
Bacterial Infections - therapy
Blood
Child
Child, Preschool
Female
Follow-Up Studies
Humans
Hyperbaric oxygen
Hyperbaric Oxygenation
Infant
Male
medical records
Medicin och hälsovetenskap
Medicine
Medicine & Public Health
Neurosurgery
Original
Original Article
Pediatrics
Postoperative infection
Radiology
Risk factors
Side effects
Spine
Spine - surgery
Surgery
Surgical Orthopedics
Surgical Wound Infection - therapy
Treatment Outcome
Weaning
Wound Healing
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Summary:The aim of this study is to evaluate possible benefits of hyperbaric oxygen (HBO) therapy in the treatment of deep postoperative infections in six high risk paediatric patients with neuromuscular spine deformity. The study involved review of medical records including radiology, office visits, and telephone contacts for six patients, referred for postoperative HBO therapy in 2003–2005. Infection control and healing without removal of implants or major revision surgery with a minimum of 2-year follow-up after index surgery were considered to represent success. All infections were resolved. Median time for wound healing, normalisation of blood tests and antibiotic weaning were 3 months. Radiological bony fusion, intact implants without any signs of radiolucent zones were seen in all cases at a mean follow-up of 54 months (37–72). Side effects of HBO treatment were minor. HBO is a safe and potentially useful adjuvance in the treatment of early deep postoperative infections in complex situations with spinal implants in high risk paediatric patients.
ISSN:0940-6719
1432-0932
1432-0932
DOI:10.1007/s00586-011-1797-3